Jennifer Smith, MA
Individual provider Active NPI Mental Health Counselor · North Collins, NY
NPI 1962660233 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1962660233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2101 Spruce St
North Collins, NY 14111-9701 - Phone
- (716) 337-3706
- Fax
- (716) 337-2723
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P69455 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Chautauqua - a Mun Corp | Past |
Accepting new patients | |
| County of Chautauqua - a Mun Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P69455 | NY | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2101 Spruce St
North Collins, NY 14111-9701
Mailing address
2101 Spruce St
North Collins, NY 14111-9701
Phone (716) 337-3706
Other practice location 1
200 E 3rd St
5th Floor Muncipal Building
Jamestown, NY 14701-5433
Phone (716) 661-8330
Other providers in North Collins, NY
- Michele Lynn Rhoades
- Antonio Paul Luis Richards
- Kayla Schiltz
- Chelsea Sherman
- Dayna Sickau
- Hannah Elisabeth Spalding
- Joellen Stender
- Monica Marie Sturm
- Kellie Szkatulski
- Sonya Ann Tramp
All providers in North Collins, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.